Intestinal Tuberculosis: When to Operate?
Tuberculosis (TB) continues to be a worldwide problem. In most cases the lungs are involved, but the infection can also occur in the gastrointestinal tract, in which case the diagnosis is often delayed.
The case presented is of a 68-year-old man of Indian descent with a history of abdominal discomfort for several months, requiring multiple visits to the emergency department. Intestinal TB was diagnosed and treated, but small bowel occlusion resulted in two admissions of the patient to the surgical ward. During his second admission the decision was made for surgical removal of the stricture, as the patient had discontinued his medical treatment.
This case report illustrates the position of our team in favor of conservative measures for the treatment of intestinal TB and of reserving surgery for complications or failure of conservative treatment.
KeywordsIntestine tuberculosis obstruction surgery
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